I ētahi wā, i a tātou e noho puku ana, ka wiriwiri ohorere tetahi uaua o te tinana, tika? Tērā pea kua tata tātou te moe, ā, ka ara ake me te wiriwiri. He maha ngā wā ka pā tēnei āhuatanga ki te katoa. Engari, ki te haere tonu tēnei wiriwiri uaua, ki te whakararuraru i ngā mahi o ia rā, he tohu pea tēnei o tētahi mate hauora. Nō reira, i tēnei rā, me kōrero tātou mō te aha tēnei 'Myoclonus', ngā take, me te wā me āwangawanga tātou mōna.
He aha te Myoclonus?
Ki te whakarāpopototanga, ko te Myoclonus he oho ohorere, he koretake, he poto noa te nekehanga, te pupuhi rānei o tētahi, o ētahi atu uaua rānei. Ka rite ki te ru hiko, ā, he poto noa te roa. Ka pā ki tētahi uaua anake i te ringa, i te waewae, i te pakihiwi, i te hope, i te tuara, i te mata rānei, ka pā rānei ki ētahi uaua i te wā kotahi.
Ahakoa te tangata hauora, ka pāngia pea tēnei e tētahi wā o tōna oranga. Heoi, i ētahi wā, he tohu anō hoki tēnei o ētahi mate hauora nui.
E rua ngā huarahi matua e puta ai te myoclonus:
- Myoclonus pai: Koinei te wā ka mimiti ohorere ngā uaua.
- Myoclonus kino: He whakangāwari ohorere tēnei o te uaua. I roto i te rongoā, e kiia ana ko te "Asterixis". Ko tōna āhua he wiri e pā ana ki te ringaringa.
He aha ngā tino take o te Myoclonus?
He maha ngā take o te myoclonus. Ko ētahi he mea tino noa, ā, e tūmanakohia ana. Engari ko ētahi ka puta mai i ngā āhuatanga hauora e pā ana ki ngā pūnaha rerekē o tō tātou tinana. E wehea ana ēnei take e ngā tohunga kia whā ngā wāhanga matua.
Ngā take noa, ā-tinana (Physiological Myoclonus)
He momo myoclonus kinokore ēnei, e puta mai ana i ngā tukanga noa i roto i ō tātou tinana. Kāore he take e mataku ai koe ki tēnei.
- Hiku: He momo Myoclonus anō hoki tēnei. Heoi, ki te roa atu i te rua ngā rā e mau tonu ana, he pai ake te toro atu ki te tākuta.
- Te miokoronu moe/te wiriwiri hihiko: Te wiriwiri ohorere o te tinana, i te wā e tata ana koe ki te moe, i te wā rānei e tata ana koe ki te oho ake. He mea noa tēnei mō te tini o te tangata.
- Ngā urupare ohorere: Ina mataku ohorere tātou, ina ohorere rānei, ka ohorere te tinana, ā, kāore e taea te pupuri.
Myoclonus i puta mai i te mate haurangi
Ka pā pea ēnei wiriwiri uaua ki ētahi mate haurangi. He tino noa tēnei mate me ngā `(myoclonic seizures)`. Ka taea hoki te hono atu ki ngā mate pēnei i te `(Lennox-Gastaut syndrome)` me te `(juvenile myoclonic epilepsy)`.
Hei tohu mō tētahi atu mate hauora (Secondary Myoclonus)
Mena ka puta te myoclonus hei tohu mō tētahi atu mate, ka kiia ko 'Secondary Myoclonus'. He maha ngā āhuatanga ka puta ai tēnei. Me ako atu tātou mō tēnei mea mai i te ripanga i raro nei.
| Take Taketake | Whakaahuatanga me ngā tauira |
|---|---|
| Ngā mate pūnaha ārai mate | Ngā mate e whakaekea ai e te pūnaha ārai mate o te tinana ōna ake pūtau. Hei tauira: (Mate Celiac) . |
| Ngā taurite kore matū i roto i te tinana | Ngā mate tākihi, ngā mate ate rānei, ngā raruraru tairoi, te korenga o ngā huaora, ngā kohuke rānei, me ngā kore taurite o ngā electrolytes . |
| Ngā whara o te roro | Te kino ki te kiko o te roro nā te kore o te hāora (te korenga o te roro e pai mō te roro) te whiu rānei. |
| Ngā mate roro pirau | Hei tauira: te mate wareware e pā ana ki te (mate a Alzheimer) , te (mate wareware tinana a Lewy) , me te (mate a Parkinson) . |
| Ngā mate ira | Ngā mate e puta mai ana i ngā whakarerekētanga DNA ka taea te tuku iho i ngā mātua. Hei tauira: (te mate Krabbe) , (te mate Wilson) . |
| Ngā mate urutā | Ngā mate huaketo, kitakita rānei e pā ana ki te roro, ki te pūnaha io rānei. Hei tauira: (Herpes simplex virus) , (Lyme disease). |
| Ngā whara o te io, o te taurakira rānei | Ka whakararuraru tētahi aituā i te whakawhitiwhiti kōrero i waenga i te roro me ngā wāhanga o te tinana, ka mahi noa iho aua wāhanga. |
| Ngā rongoā me ngā raau taero | Ka pā mai pea tēnei i ngā rongoā i tangohia me te kore he whakahaunga a te tākuta (pērā i te waipiro, te kōkāne, te heroini). Ka pā mai anō hoki i ngā rongoā i whakaritea e te tākuta, pērā i ngā rongoā ārai mate haurangi, ngā rongoā ārai pouri , ngā rongoā toto toto tiketike, me ngā rongoā paturopi . |
| Ngā paitini me ngā paitini | Te horomitanga o ngā konganuku taumaha pērā i te mata, te manganese, te mercury. Ngā paitini pērā i ngā patupatu (hei tauira, te methyl bromide ). |
Myoclonus Tino Nui
He mate ira tēnei e tukuna iho ana i tētahi whakatipuranga ki tētahi whakatipuranga. Kāore e pā kino, ā, kāore e kino haere i roto i te wā. Heoi, mā te inu waipiro ka kitea ake te wiri o ngā uaua.
Ka taea te ārai i tēnei āhuatanga?
Ko te myoclonus he mea ka puta ohorere mai, kāore he whakatūpato. Nō reira, kāore e taea te ārai i ngā momo myoclonus i kōrerohia e tātou i mua ake nei, arā, ko te myoclonus physiological me te myoclonus essential.
Heoi, ka taea e tātou te whakahaere i ngā mate myoclonus i puta mai i ētahi atu mate (tuarua) me te mate haurangi (epileptic) ki tētahi taumata.
- Āraia te whakamahi i ngā raau taero: Āraia te whakamahi i ngā raau taero kāore i tohua e te tākuta. Waihoki, ki te pāngia koe e ēnei tohu i muri i te tango i te raau taero i tohua e te tākuta, me whakamōhio tonu atu ki tō tākuta. Kei reira rātou hei āwhina i a koe, ehara i te mea hei whakahē i a koe. Nō reira, he mea nui kia mōhio ai koe ki ngā mea katoa i whakamahia e koe, kia haumaru ai koe, kia tika ai hoki te maimoatanga.
- Tiakina tō pūnaha io: Mā te whakamahi i ngā taputapu haumaru pērā i ngā potae me ngā whitiki nohoanga ka ārai i ngā whara ki tō roro me tō taurakira.
- Whakahaerehia ngā mate pūmau: Mena kei a koe ngā mate pūmau pēnei i te mate haurangi, te mate tairoi rānei, mā te whai i ngā tohutohu a tō tākuta ka āwhina i te ārai, i te whakaiti rānei i te putanga mai o te myoclonus.
Āhea tātou me toro atu ki te tākuta?
Kāore e hiahiatia he rongoā mō te mate pāwera noa. Heoi, ki te mau tonu ēnei mamae o te uaua, ina koa ka whakararuraru i ō mahi o ia rā, i tō moe rānei, me toro atu koe ki te tākuta.
Kia maumahara, kāore he take e mataku ai mō tētahi mea pērā i te ponana noa. Engari ki te mau tonu ēnei ponana, he tohu pea tēnei mō tētahi mea kino, nō reira he mea whakaaro nui kia rapu tohutohu hauora.
Ki te whakaaro koe kua horomia e koe tētahi paitini, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. Ka taea hoki e koe te waea atu ki te Pokapū Mōhiohio Paitini ā-Motu i te Hōhipera ā-Motu o Colombo mō ētahi tohutohu.
Ētahi atu momo motuhake o te myoclonus
He maha atu anō ngā momo myoclonus motuhake, e puta ana i roto i ētahi rōpū tau, i ētahi huarahi motuhake rānei.
Te myoclonus moe pēpi hou pai
He mate tēnei e pā ana ki ngā pēpi hou. Ka oho ohorere ngā waewae, ngā waewae rānei o ēnei pēpi i a rātou e moe ana. Ahakoa he rite tēnei ki te mate haurangi i te tirohanga tuatahi, kāore he mahi haurangi e whakaatuhia ana e te electroencephalogram (EEG). Kāore tēnei e pā kino ki te pēpi, ā, ka ngaro katoa i te ono marama te pakeke.
Te uaua o te taringa waenga
Koinei te wā e mimiti haere ai te uaua e kiia nei ko te tensor tympani i roto i tō taringa, ā, kāore e taea te whakahaere. I te nuinga o te wā, ka mimiti haere tēnei uaua ina kōrero tātou, ina kai, ina kata rānei hei tiaki i te taringa o roto. Engari i tēnei wā, ka mimiti haere tēnei uaua i te wā hē, ka puta he tangi pāorooro, he tangi pakū rānei i roto i te taringa. He mea whakarihariha tēnei, engari ehara i te mea morearea. Ka taea te rongoā mā te pokanga, mā ētahi atu tikanga rānei.
Te mate Opsoclonus-myoclonus (OMS)
Ko te Opsoclonus he nekehanga ā-ringa o ngā uaua e whakahaere ana i te ahunga o ngā kanohi. He āhuatanga onge te OMS e puta tahi ai te wiri o ngā kanohi me te wiri o ngā uaua o te tinana. I ētahi wā ka puta ina whakaekea hētia e tō tātou pūnaha ārai mate tō tātou ake pūnaha io. I roto i ngā tamariki, ka puta pea tēnei urupare ārai mate i tētahi momo mate pukupuku roro e kiia nei ko te neuroblastoma. I roto i ngā pakeke, ka hono pea tēnei āhuatanga ki te mate pukupuku pūkahukahu, ū, ovarian rānei.
Te uaua o te waha o te waha
He momo myoclonus tēnei e pā ana ki ngā uaua o te waha ngohengohe i roto i tō tātou waha. Ka puta he tangi 'pāwhiri' rerekē i roto i te taringa. He mea tuku iho tēnei, he tohu rānei nō tētahi momo whara roro. He maha ngā wā ka taea te whakahaere i tēnei āhuatanga mā te rongoā.
Karere Tangohia ki te Kāinga
- Ko te myoclonus he wiri ohorere o ngā uaua. He mea noa, ā, kāore he kino ngā mea pēnei i te wiri me te hikoi moe.
- Engari, ki te mau tonu tēnei wiri o te uaua, he maha tonu te puta, he kino rawa, he whakararuraru rānei i tō oranga o ia rā, he tohu pea tēnei nō tētahi atu mate hauora.
- I roto i tēnei āhuatanga, kaua e warewarehia, engari me toro atu ki tō tākuta.
- Ko te maimoatanga e whakawhirinaki ana ki te take, ko tāu tākuta anake ka taea te whakatau.
- He mea tino nui te kōrero pono ki tō tākuta mō ngā rongoā, mō ētahi atu mea rānei e tangohia ana e koe, kia tika ai te tautuhi mate me te haumaru o te maimoatanga.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mate e tohua ana te rongoā Metoprolol Tartrate / Lopressor?
Koinei te 'pire ngākau' tino angitu, tino kaha, tere te mahi o te ao (Cardioselective Beta-blocker)! He 'Tartrate' tēnei, nō reira ka tere te mimiti ki roto i te tinana ina tangohia. Ka whakamahia e ngā tākuta hei whakahaere i te 'Toto Toto Nui' kino, te angina, ā, koia te rongoā tuatahi hei whakaora i te ora o te tūroro i ngā wā i muri i te 'Whakaekenga ngākau'.
💬 Me pēhea te whakaiti i te toto toto me te ngenge o te ngākau e tēnei pire manawa tere (Metoprolol Tartrate)?
Ina pā mai te mate manawa, ka tere ake te pao o te manawa nā te karere 'adrenaline (Epinephrine)' e tukuna ana mai i te roro. Ina uru atu tēnei pire ki te tinana, ka tika tonu atu ki te manawa e tata mate ana me te kore hāora, ā, ka āraia/katia katoatia ngā kuaha e puta mai ana te adrenaline (ngā Kaiwhakawhiwhi Beta-1), ka rakahia hoki. Nā te mea kāore he ara e taea ai te tuku i te karere, ka puhoi noa te manawa, ka tīmata te pao i te wā e okioki ana. Kātahi ka heke te taumahatanga ki te manawa, ā, ka ora te tūroro i te mate.
💬 He aha i kīia ai kaua e mutu te tango i tēnei rongoā (Lopressor) i te wā ohorere? He aha ngā mōrearea (Whakatūpato Pouaka Pango)?
Ki te tangohia e koe tēnei pire mō ngā marama, kātahi ka 'mutu ohorere', ka puare ohorere aua kaiwhakawhiwhi adrenaline kua āraia, kāore e taea te whakahaere! Kātahi, i roto i ngā meneti, ka pāngia koe e te mate manawa nui, ā, ka mutu tō ngākau (Angina Exacerbation / Myocardial Infarction / Severe Tachycardia) he tino whakamate, ā, ka mate pea koe! Waihoki, ka taea e tēnei pire te whakaroa i tō ngākau, ā, ka puta te whanoke/te hiamoe nui/te kore moe/te ngenge.
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